Department
Finance
Requested Action (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
title
Request approval to renew existing contracts - Finance Department, 19-RFP060519C-MH, Employee Healthcare Benefit Plan - Dental on a fully-insured basis with Aetna Life Insurance Company (Atlanta, GA) to administer: [1] Dental PPO (DPPO) Plan on a self-insured basis and [2] Dental HMO (DMO) Plan to eligible employees, retirees, beneficiaries and their covered dependents. This action exercises the second of four renewal options. Two renewal options remain. Effective date: January 1, 2022 through December 31, 2022. (APPROVED)
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Requirement for Board Action (Cite specific Board policy, statute or code requirement)
In accordance with Purchasing Code Section 102-394(6), the Purchasing Department shall present all renewal requests to the Board of Commissioners at least 90 days prior to the contract renewal date or 60 days if the contract term is six (6) months or less.
Strategic Priority Area related to this item (If yes, note strategic priority area below)
Open and Responsible Government
Commission Districts Affected
All Districts ☒
District 1 ☐
District 2 ☐
District 3 ☐
District 4 ☐
District 5 ☐
District 6 ☐
Is this a purchasing item?
Yes
Summary & Background (First sentence includes Agency recommendation. Provide an executive summary of the action that gives an overview of the relevant details for the item.)
Scope of Work: Aetna administers the self-insured dental PPO and the fully-insured dental HMO plans for active employees, retirees/beneficiaries and their eligible dependents. This contract provides an all-inclusive administration fee for dental plan administration, claims adjudication, standard reporting and customer service. Aetna’s offering continues to provide the best overall value in terms of choice, provider access and cost both for the County and its members.
Community Impact: None
Department Recommendation: The Finance Department recommends renewal of existing contract with Aetna to administer the Dental PPO and HMO Plans based on the rates in Exhibit I and II below for the 2022 plan year. EXHIBIT I - AETNA DENTAL PPO (DPPO) ADMINSTRATION FEE - SELF INSURED OPTION Aetna will continue to administer the self-insured Dental PPO Plan at the rate of $1.76 per enrollee per month. The administrative fee is guaranteed to remain flat over the duration of the contract. EXHIBIT II - AETNA DENTAL HMO (DMO) PREMIUM RATES - FULLY INSURED OPTION Below are the Dental HMO 2022 tiered approved premium rates. There is no change to the Dental HMO premiums from 2021 to 2022.
Project Implications: None
Community Issues/Concerns: None
Department Issues/Concerns: None
Contract Modification
Current Contract History |
BOC Item |
Date |
Dollar Amount |
Original Award Amount |
19-0620 |
8/7/2019 |
Per approved admin fees (Dental PPO) & approved tiered rates (Dental HMO). |
1st Renewal |
20-0840 |
11/8/2020 |
Per approved admin fees (Dental PPO) & approved tiered rates (Dental HMO). |
2nd Renewal |
|
9/1/2021 |
Per approved admin fees (Dental PPO) & approved tiered rates (Dental HMO). |
Total Revised Amount |
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$.00 |
Contract & Compliance Information (Provide Contractor and Subcontractor details.)
(1)
Contract Value: $1.95 to $1.76 per enrollee per month
Prime Vendor: Aetna Dental PPO (DPPO)
Prime Status: Non-Minority
Location: Atlanta, GA
County: Fulton County
Prime Value: $1.95 to $1.76 per enrollee per month
(2)
Contract Value: $17.32 down to $16.80 employee only; employee +1 =$33.10
Prime Vendor: Aetna Dental HMO (DMO)
Prime Status: Non-Minority
Location: Atlanta, GA
County: Fulton County
Prime Value: $17.32 down to $16.80 employee only; employee +1 =$33.10
Exhibits Attached (Provide copies of originals, number exhibits consecutively, and label all exhibits in the upper right corner.)
Exhibit 1: Contract Renewal Agreement
Exhibit 2: Contract Renewal Evaluation Form
Exhibit 3: Contractor Performance Report
Contact Information (Type Name, Title, Agency and Phone)
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Ray Turner, Deputy Finance Director (404) 612-7737
Melissa Barnett, Benefits Manager (404) 612-4243
Contract Attached
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Yes
Previous Contracts
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Yes
Total Contract Value
Original Approved Amount: |
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Previous Adjustments: |
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This Request: |
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TOTAL: |
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Grant Information Summary
Amount Requested: |
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Cash |
Match Required: |
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In-Kind |
Start Date: |
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Approval to Award |
End Date: |
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☐ |
Apply & Accept |
Match Account $: |
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Fiscal Impact / Funding Source:
Funding Line 1:
426-999-P003-1560: Group Insurance Stabilization, General Fund, Administrative
Key Contract Terms |
Start Date: 1/1/2022 |
End Date: 12/31/2022 |
Cost Adjustment: Click here to enter text. |
Renewal/Extension Terms: 2nd of 4 renewals |
Overall Contractor Performance Rating:
Would you select/recommend this vendor again?
Yes
Report Period Start: |
Report Period End: |
1/1/2021 |
6/30/2021 |